RN Maternity NICU Case Manager
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Job Location:
Pittsburgh, PA - USA
Monthly Salary:
Not Disclosed
Posted on:
3 days ago
Vacancies:
1 Vacancy
Job Summary
The RN Case Manager plays a critical role in delivering Cignas wholeperson health strategy by serving as a trusted advocate and clinical partner for customers families and caregivers. This role focuses on care coordination customer engagement and health navigation to improve outcomes and deliver exceptional customer experience.
The Case Manager demonstrates Cignas Care Solutions cultural beliefs acting with accountability collaboration compassion and innovation in support of both customer needs and business objectives.
How Youll Make an Impact
Partner with customers to assess needs develop individualized care plans and document interventions and outcomes in Cigna medical management systems.
Collaborate with customers and providers to establish goals interventions and evidencebased plans of care.
Apply motivational interviewing behavior change strategies and shared decisionmaking to drive engagement and improved health outcomes.
Empower customers to effectively navigate the healthcare system and communicate with providers.
Coordinate care across customers caregivers providers and internal partners via phone and digital channels (email text chat).
Collaborate with interdisciplinary teamsincluding pharmacists nutritionists behavioral clinicians Medical Directors and Medical Management programsto support wholeperson health.
Track analyze and document daily activity volume and outcomes to support performance and quality goals.
Follow established policies procedures and Case Management performance measures.
Efficiently navigate multiple systems and applications in a fastpaced customerfocused environment.
Complete required training and maintain clinical knowledge licensure and certifications.
Required Qualifications
Active unrestricted Registered Nurse (RN) license in a U.S. state or territory.
Minimum of two (2) years of fulltime direct patient care experience as an RN.
Preferred Qualifications
Specialty case management experience with Maternity / NICU experience preferred for specialty roles.
Ability to obtain a URACrecognized Case Management certification within four (4) years of hire.
Strong clinical judgment with the ability to assess risk prioritize care and act decisively.
Excellent verbal and written communication skills across phone and digital platforms.
Proficiency in Microsoft Word Excel Outlook and online research tools.
Demonstrated ability to resolve conflict collaborate across teams and interact with diverse populations.
Strong organizational skills adaptability and comfort managing multiple complex cases simultaneously.
If you will be working at home occasionally or permanently the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services a division of The Cigna Group creates pharmacy care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race color age disability sex childbirth (including pregnancy) or related medical conditions including but not limited to lactation sexual orientation gender identity or expression veteran or military status religion national origin ancestry marital or familial status genetic information status with regard to public assistance citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama Alaska Arizona Arkansas Delaware Florida Georgia Hawaii Idaho Iowa Kansas Maryland Massachusetts Michigan Nebraska Ohio Pennsylvania Texas Utah Vermont and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.
Required Experience:
Manager
About Company
Cigna Healthcare offers health insurance plans such as medical and dental to individuals and employers, international health insurance, and Medicare coverage.
